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1124040068
MARK ANTHONY ANDREW WIMBLEY
ANAHEIM, CA
NPI
1124040068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: CA G75382)
Enumeration Date
2006-07-23
Last Update Date
2007-07-08
Business Address
MARK ANTHONY ANDREW WIMBLEY
1175 N EUCLID ST
ANAHEIM, CA 92801-1938
Phone number: 714-563-1997
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Mailing Address
MARK ANTHONY ANDREW WIMBLEY
1175 N EUCLID ST
ANAHEIM, CA 92801-1938
Phone number: 714-563-1997
Copy
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